Physician-guided care for sexual performance, prescribed only when it’s right for you.
Billed monthly until you cancel. Medications in this program are compounded by a licensed 503A pharmacy. Compounded medications are not FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality. Your physician decides whether a medication is appropriate for you.


The Performance Blend is a compounded medication that combines PT-141 (bremelanotide) with other prescription ingredients. It is not FDA-approved. Your physician reviews your heart health, medications and goals and decides whether it is appropriate for you.
Your physician reviews your heart health and medications before treatment starts, explains what is and isn’t known about each ingredient, and reviews your plan every 30 days.
1Intake
Tell us about your goals, health, and history in a short questionnaire for your physician to review.
2Doctor visit
Meet with an independent licensed physician by video to determine whether treatment is right for you.
3Ship
Your treatment kit ships to your door with step-by-step guidance for getting started.
4Ongoing support
Message your care team anytime through your patient portal. Your care team can arrange physician follow-up when clinical input is needed.
Your heart health and medications are reviewed before treatment starts, and an independent physician decides what happens after every 30-day cycle.
Get started Program | Buying without a care program | |
|---|---|---|
| Prescription decision | Independent physician | Not included |
| Heart and medication review | Before you start | Not included |
| Physician follow-up | Every 30 daysRepeat, adjust or pause | Not included |

Yes. You’ll speak with an independent licensed physician by video about the treatment and whether it’s right for you.
The Performance Blend is held against your cheek. Nothing in the program is injected.
Some heart conditions and medications can make the tadalafil in the blend unsafe. Your physician reviews both before deciding whether treatment is right for you.
Your program renews monthly until you cancel. You can cancel anytime through your care team. Once a month's medication has been ordered, that month's charge can't be refunded.

Start with a short questionnaire and a video visit with a licensed physician. If treatment is right for you, your Performance Blend arrives with clear instructions and ongoing support.
Billed monthly until you cancel. Medications in this program are compounded by a licensed 503A pharmacy. Compounded medications are not FDA-approved, and the FDA has not reviewed them for safety, effectiveness or quality. Your physician decides whether a medication is appropriate for you.
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